Report #2895288

Received May 4, 2026

Hospitalized

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Female
Age: 96 yrs
State: MA
Recovered: Recovered
Vaccinated: Apr 29, 2026
Onset: Apr 29, 2026
Days to onset: 0
Hospital days: 3

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	UNK	3053777	IM / RA

Symptoms (2)

MalaiseMyocarditis

Symptom narrative

PT FELT ILL AND WAS REFERRED TO SEEK MEDICAL ATTENTION. PATIENT WAS DIAGNOSED WIHT MYOCARDITIS

Medical history

ATRIAL FIBRILATION, KIDNEY DISEASE, SICK SINUS SYNDROME, HIGH CHOLESTEROL

Other medications

HYDRALAZINE, OSELTAMIVIR, MIRTAZAPINE, METOPROLOL, ATORVASTATIN, ELIQUIS, CALCIUM, MULTIVITAMIN

Allergies

NKDA